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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
[Surgical treatment of pulmonary embolism]
Jonas Amstrup Funder1, Lars B Ilkjaer
1Hjerte-lunge-karkirurgisk Afdeling T, Arhus Universitetshospital, Skejby. DK-8200 Arhus C. funder@ki.au.dk.
Insights
Surgical embolectomy is a viable treatment for acute massive pulmonary embolism. This case series shows three patients survived the procedure, indicating its feasibility in emergency situations.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonary Medicine
Background:
- Acute massive pulmonary embolism (PE) is a life-threatening condition requiring prompt intervention.
- Surgical embolectomy is a potential treatment option for massive PE when other methods fail or are contraindicated.
Observation:
- This report details three cases of acute massive PE treated with surgical embolectomy.
- The procedure involved opening the pulmonary arteries to remove embolic material.
- One patient experienced hypoxic brain damage prior to surgery due to cardiac arrest.
Findings:
- All three patients survived the surgical embolectomy.
- Postoperative echocardiography revealed normal cardiac function in all patients.
- Surgical embolectomy proved to be a feasible treatment in these acute massive PE cases.
Implications:
- Surgical embolectomy can be a life-saving intervention for acute massive pulmonary embolism.
- This approach may lead to favorable outcomes, including normal cardiac function post-recovery.
- Further research into patient selection and surgical techniques for massive PE is warranted.
Abstract:
This case report describes three cases of acute massive pulmonary embolism treated with surgical embolectomy at Skejby Sygehus (Aarhus University Hospital), Denmark, in the period from March 2005 to January 2006. It was necessary to open each pulmonary artery in all three patients in order to remove as much of the embolic material as possible. The three patients survived the operation, although one had hypoxic brain damage resulting from cardiac arrest prior to hospitalization. They all had normal echocardiography postoperatively. Surgical embolectomy is therefore a feasible treatment for acute massive pulmonary embolism.
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